Conservative interventions for urinary incontinence in women: an Overview of Cochrane systematic reviews

McClurg, Doreen; Pollock, Alex; Campbell, Pauline; Hazelton, Christine; Elders, Andrew; Hagen, Suzanne; Hill, David

doi:10.1002/14651858.cd012337

Cited by 16 publications

(12 citation statements)

References 68 publications

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“…Doreen at al (2016) studied that stress urinary incontinence impacts daily living and it had been considered to affect the physical, mental and social life of females, reducing general wellbeing, contentment and personal satisfaction. In current study the results were same, as according to this study urinary leakage causes loss of confidence and also affects the quality of life, and pelvic floor muscle exercises helped in improvement of symptoms 10 .…”

Section: Discussionsupporting

confidence: 72%

Effects of Modified Pilates on Incontinence Severity and Quality of Life in Females with Urinary Incontinence

Saleem¹,

Hassan²,

Khurshid³

et al. 2022

PJMHS

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Background: Urinary Incontinence is a state in which an individual is unable to control urine and may leak it out without reaching to the toilet. The urgency of urine becomes out of control in such patients. Aim: To determine the effects of modified Pilates on incontinence severity and quality of life in females with urinary incontinence. Study Design: Randomized Controlled Trial. Methodology: Patients (n=50) were analyzed. The Group A received modified Pilates along with standard physical therapy while group B received standard physical therapy exercises only. Baseline treatment that was standard physical therapy (pelvic floor muscle training, home exercises plan and life style advice) was given to both groups. Outcome measures were calculated by Symptom Severity Index and Incontinence Quality of Life questionnaire. Results: The mean value of Symptoms Severity Index score of group A before intervention was 21.04 which was more than 16.04, the value obtained after the treatment. This value was less than the post Symptoms Severity Index mean of group B (standard physical therapy only). The Symptoms Severity Index score between both groups has massive difference with P value <0.05. Conclusion: It was concluded that modified Pilates combined with standard physical therapy improves urinary incontinence severity and quality of life in females with urinary incontinence. Keywords: Modified Pilates, Quality of Life, Standard Physical Therapy and Urinary Incontinence.

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Section: Discussionsupporting

confidence: 72%

Effects of Modified Pilates on Incontinence Severity and Quality of Life in Females with Urinary Incontinence

Saleem¹,

Hassan²,

Khurshid³

et al. 2022

PJMHS

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“…Even among most experienced reviewers, reaching agreements on the overall strength of evidence can be difficult [46]. Efforts have been made to address these gaps, including proposal of a more algorithmic approach to judge quality of evidence based on GRADE [38,47], clarification of factors considered in applying each criterion of GRADE [48], and development of Evaluating Strength of the Quantitative Evidence at the Level of an Umbrella Review [49].…”

Section: Strength Of Evidence Assessmentmentioning

confidence: 99%

Aldehyde dehydrogenase 2 rs671 polymorphism and multiple diseases: protocol for a quantitative umbrella review of meta-analyses

Guo

Ling

et al. 2022

Syst Rev

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Background The mutant allele (*2) of aldehyde dehydrogenase type 2 (ALDH2) caused by a single nucleotide variant (rs671) inhibits enzymatic activity and is associated with multiple diseases. In recent years, an explosive number of original studies and meta-analyses have been conducted to examine the associations of ALDH2 rs671 polymorphism with diseases. Due to conflicting results, the overall associations of ALDH2 rs671 polymorphism and multiple diseases remain unclear. Methods A quantitative umbrella review will be conducted on meta-analyses of genetic association studies to examine the pleiotropic effects of ALDH2 rs671, mainly including cardio-cerebral vascular disease, diabetes mellitus, cancer, neurodegenerative disease, and alcohol-induced medical disease. A search of relevant literature according to comprehensive search strategies will be performed on studies published before July 1st, 2022 in PubMed, MEDLINE Ovid, Embase, Cochrane Database of Systematic Reviews, and Web of Science. Study selection, data extraction, methodology quality assessment, and strength of evidence assessment will be conducted by two reviewers independently and in duplicate. Included meta-analyses will be grouped by outcomes. Data conflicts and overlap between meta-analyses will be managed through updated standardized and customized methods including the calculation of CCA for study selection reference, application of Doi plots to assess small-study effects and others. Evidence from included meta-analyses will be quantitatively synthesized by overlap-corrected analyses and meta-analysis using primary studies. Discussion This umbrella review is expected to generate systematic evidence on the association between ALDH2 rs671 and diseases. Specific approaches were developed to address key challenges in conducting an umbrella review, including assessment tools of methodology and evidence quality of meta-analyses, methods to manage overlap between meta-analyses, a “stop-light” plot to summarize key findings. These approaches provide applicable methods for future umbrella reviews of meta-analyses on genetic association studies. Trial registration CRD42021223812

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“…17 Another interesting conservative treatment is TENS, which improves the pelvic floor and detrusor's muscle tone and control. 9,40 One study showed that symptoms of UI decreased in the TENS-intibia group versus simulated treatment. 12 On the other hand, another review 8 had four studies with a lower self-reported recovery rate in the TENS group, and seven studies where there were no differences between TENS and PFMT.…”

Section: Most Frequent High-quality Conservative Treatmentsmentioning

confidence: 99%

Effect of conservative treatment of pelvic floor dysfunctions in women: An umbrella review

Bascur-Castillo

Carrasco‐Portiño

Peters

et al. 2022

Intl J Gynecology & Obste

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Pelvic floor dysfunctions (PFDs) include urinary incontinence (UI), fecal incontinence (FI), pelvic organ prolapse (POP) and some sexual dysfunctions. 1 One of the main consequences of PFDs in women is the alteration of their quality of life, having an impact on women's social, psychological, working, domestic, physical, and sexual lives. 2 PFDs are highly prevalent among women, with 2.6%-28.7% of them suffering from UI, 20%-50% from POP, and 6.9% from BI, becoming a public health problem. 2,3 Given the high prevalence of PFDs and their impact on women's quality of life, several studies have analyzed different ways to reach an early identification and treatment. 4 Among the latter, there are

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Conservative interventions for urinary incontinence in women: an Overview of Cochrane systematic reviews

Abstract: Conservative interventions for urinary incontinence in women: an Overview of Cochrane systematic reviews.

Cited by 16 publications

References 68 publications

Effects of Modified Pilates on Incontinence Severity and Quality of Life in Females with Urinary Incontinence

Effects of Modified Pilates on Incontinence Severity and Quality of Life in Females with Urinary Incontinence

Aldehyde dehydrogenase 2 rs671 polymorphism and multiple diseases: protocol for a quantitative umbrella review of meta-analyses

Effect of conservative treatment of pelvic floor dysfunctions in women: An umbrella review

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